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Hindu Samaj Space Rental/Usage Form
3 Brown Road, Wappingers Falls, NY 12590
www.hindusamajtemple.org
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Email
*
Your email
Choose the best option to categorize yourself or organization
This will assist us in identifying which category your event falls in within our rental fee pricing
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Choose
Hindu Samaj Member
Non -Member
For Profit organization in Dutchess County
Non-profit organization in Dutchess County
Resident of Dutchess County
Other
Type of Event (Please select one. For HS Sponsored or Approved events, separate form(s) may be needed)
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HS Sponsored
HS Approved
Private Rental
Other:
Name of Organization or Individual
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Your answer
Contact Number
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Your answer
Contact Email
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Your answer
Briefly describe your organization
Your answer
Name of Event
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Your answer
Description of Event
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Your answer
Preferred date for Event
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MM
/
DD
/
YYYY
Additional dates for Event
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Your answer
Estimated number of attendees
(Maximum Legal Occupancy 299)
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Your answer
What type of spaces will you need
check all that apply
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Temple Area
Community Hall Upstairs
Dining Hall Downstairs
Kitchen
Other:
Required
What are the time blocks you will need access each of the above space.
Please indicate time for set-up and clean up separately.
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Your answer
Priest Service
Please refer to temple website for Priest Service Charge
https://hindusamajtemple.org/services/
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Yes
No
Community Hall PA system
(not available for Private Rentals)
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Yes
No
PA system in office room
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Yes
No
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